Make a donation to Hospice Isle of Man

How do you want to donate?*
Regular donations are a simple and convenient way to continually support us.
Who is your support in support of?*
Donation Frequency*
Donation Amount*

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GBP
Payment
Important Information
- Your initial donation covers your first month, quarter or year and will need to be made by debit or credit card, debited from your account today.
- Ongoing regular donations beyond your initial donation, are collected by Direct Debit on or around the 1st of each month.
- Quarterly and annual regular donations will be collected by Direct Debit on or around the 1st of the first month, within your selected time period.
What's the story behind your donation?*
Please provide the name of the in memory individual*

ForenameSurname
Do you consent for your name to be shared with the deceased's family?*
Would you like a formal receipt to be issued for your donation?*
Please let us know any other details you feel relevant (optional)

Your Details
Full Name*

TitleFirst NameLast Name
Contact Telephone Number*
e.g. 07624 456123
Email address*

Confirmation Email
Address*

Street Address

Street Address Line 2

CityState / Province

Post CodeCountry
I would like to receive communications via the following channels from Hospice Isle of Man about how my donations make a difference and the other opportunities that I have to provide support such as events, competitions, promotions and fundraising activities.

EmailSMS text message
You can change your preferences or opt out of receiving communications at any time by contacting us on 01624 672222. Our Privacy Policy provides more information about how and why we use your personal data.
Email Opt In

Email

Direct Debit Details
Important Information

Please note that your initial regular donation must be paid upfront by credit or debit card. Your second and all subsequent donations will be automatically collected by Direct Debit from your nominated bank account.

Your rights

Organisations using the Direct Debit Scheme go through a careful vetting process before they are authorised, and are closely monitored by the banking industry. The efficiency and security of Direct Debit is monitored and protected by your own bank or building society.

The Direct Debit Guarantee applies to all Direct Debits. It protects you in the rare event that there is an error in the payment of your Direct Debit. The Guarantee covers Direct Debit payments. It cannot be used to address contractual disputes between you and the billing organisation.

Direct Debit Guarantee

The Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits
- If there are any changes to the amount, date or frequency of your Direct Debit the organisation will notify you (normally 10 working days) in advance of your account being debited or as otherwise agreed. If you request the organisation to collect a payment, confirmation of the amount and date will be given to you at the time of the request
- If an error is made in the payment of your Direct Debit, by the organisation or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society
- If you receive a refund you are not entitled to, you must pay it back when the organisation asks you to
- You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify Hospice Isle of Man on 01624 672222
Your bank account details

Please do NOT state name of bank as 'Name of bank account holder' - this field is for the name of the person the account belongs to (e.g. Mr Joe Bloggs)
Name of bank account holder*
Bank account number*
Sortcode*
By selecting Next you confirm that you are the signatory of the account to be debited and that no other signature apart from your own is required to authorise the set up of this Direct Debit instruction.

Payment Details
Please note if you have selected to make regular donations via Direct Debit, that your initial first donation will be paid upfront by credit or debit card using the payment options below. Your second and all subsequent donations will be then automatically collected by Direct Debit from your nominated bank account.

Payment Methods

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Your Details

Direct Debit Details

Payment Details